压力知觉、抑郁和焦虑在大学生手机成瘾与睡眠质量间的多重序列中介作用  

Multiple chain mediation effects of perceived stress,depression and anxiety in relationship between mobile phone addiction and sleep quality of college students

作　　者：欧子欣 杨翠盈 付彤 党彩萍[1,2] OU Zixin;YANG Cuiying;FU Tong;DANG Caiping(School of Health Management,Guangzhou Medical University,Guangzhou Guangdong,511436,China;Department of Child and Adolescent,Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou Guangdong,510370,China)

机构地区：[1]广州医科大学卫生管理学院,广东广州511436 [2]广州医科大学附属脑科医院儿少科,广东广州510370

出　　处：《职业与健康》2023年第18期2527-2532,共6页Occupation and Health

基　　金：广州医科大学2021年度校级质量工程项目(01-408-2201054);广东省哲学社会科学规划2021年度一般项目(GD21CXL05);2021年度基础与应用基础研究基金联合基金(粤穗、粤深、粤佛、粤莞)项目计划(2021A1515111046);广州医科大学高水平大学建设项目(02-410-B205001186)。

摘　　要：目的 探讨压力知觉、抑郁和焦虑在大学生手机成瘾与睡眠质量间的多重序列中介效应,为改善大学生睡眠质量和身心健康提供指导。方法 2022年5月,采用方便取样方法抽取广东省398名大学生为调查对象,使用一般情况调查表、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)量表、手机成瘾指数量表(mobile phone addiction index,MPAI)、中文版压力感知量表(Chinese perceived stress scale,CPSS)、患者健康问卷抑郁量表(patient health questionnaire-9,PHQ-9)和广泛性焦虑量表(generalized anxiety disorder-7,GAD-7)进行调查,并对数据进行分析。结果 睡眠障碍和手机成瘾检出率分别为27.9%和38.2%,睡眠质量、手机成瘾、压力知觉、抑郁及焦虑相互间均呈正相关(均P<0.01)。压力知觉、抑郁、焦虑在手机成瘾对睡眠质量的影响中分别起单独中介作用;压力知觉、抑郁和焦虑在手机成瘾与睡眠质量间起多重序列中介作用,2条序列中介路径分别为手机成瘾→压力知觉→抑郁→睡眠质量和手机成瘾→压力知觉→焦虑→睡眠质量,均占总效应的15.07%。结论 降低手机成瘾、压力知觉、抑郁和焦虑水平能改善大学生睡眠质量。Objective To explore the multiple chain mediating effects of perceived stress,depression and anxiety between mobile phone addiction and sleep quality among college students,so as to provide guidance of improving the sleep quality and physical and mental health development of college students.Methods In May 2022,a total of 398 college students in Guangdong Province were collected by the convenient sampling method,and surveyed by using general situation questionnaire,Pittsburgh sleep quality index(PSQI),mobile phone addiction index(MPAI),Chinese perceived stress scale(CPSS),patient health questionnaire-9(PHQ-9)and generalized anxiety disorder-7(GAD-7).And the data were analyzed.Results The detection rates of sleep disorders and mobile phone addiction were 27.9%and 38.2%respectively.There were significant positive correlations among sleep quality,mobile phone addiction,perceived stress,depression and anxiety respectively(all P<0.01).The perceived stress,depression and anxiety separately mediated the association between mobile phone and sleep quality.The mobile phone addiction could affect sleep quality through the multiple chain mediation of perceived stress depression and anxiety,and the two mediating paths were mobile phone addiction→perceived stress→depression→sleep quality,and mobile phone addiction→perceived stress→anxiety→sleep quality,both accounting for 15.07%of the total effects.Conclusion Reducing the levels of mobile phone addiction,perceived stress,depression and anxiety can improve college students'sleep quality.

关 键 词：手机成瘾 睡眠质量 压力知觉 抑郁 焦虑 

分 类 号：R740[医药卫生—神经病学与精神病学]